NPI 1114643335
Jaquana L Hicks
Practice location
- Address
- 1501 Hope Mills Rd, Fayetteville, NC 28304-4220
- Phone
- (910) 978-1268
- Mailing address
- 1501 Hope Mills Rd STE a, Fayetteville, NC 28304-4220
Registered specialties (3)
Non-emergency Medical Transport (VAN)
Primary
Non-emergency Medical Transport (VAN)
Home Health Aide
Registry record
- NPI
- 1114643335
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2022
- Record last updated
- 11 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.